Document ByVrVdE7gnqa9baqDRjOVvQMJ

Cleveland, Okla. Aug. 28, 193Q - Dr. K obert A. Kehoe .C in cin n ati. Ohio'. Dear Doctor: I. w i l l make an e f f o r t i n th e f o l l o w i n e ^ ^ t t e r t o describe to you an illn e s s of M r . ^ H o f Cleveland, Oklahoma, whose d u tie s in the j o h n s o n O ^ ^ H ^ i n i n g Co., have "been t o d e a l v iith E t h v l F l u i d Compound i n t h e making o f E t h y l Gasoline. " Mr . 18 a man o f 35 y e a r s o f a g e , h e i g h t 5 ' 5 " , w e i g h t 1: m d has b e e n emplo7/ e d i n t h e m i x i n g and handling of Sthvl Fluid for the past three years. On Aug. 1 8 , 1930 Mr. began w ash in g w ith w a te r two tan k s,e sh of which had p re v io u sly held S th v l G asoline. These t a n k s v/ere washed w i t h w a t e r u n t i l Aug. P.3, . On t h e m o r n i n g o f Aug. 23, he en te red -o n e o f th e s e tanks to r e c o n s tr u c t a swine lin e . During the process of handling a 6" pine, th is p a t i e n t slip p ed end f e l l in to the w ater slu sh in the ta n k . At 3:00 P. Iu., t h i s p a t i e n t n o t i c e d a marked weakness, what he d e s c r i b e d a s a d r a g g y f e e l i n g . H i s w o rk f i n i s h e d a t 4 : 0 0 ? . M. _I s q w t h i s p a t i e n t on Auo-. 24, a t h i s home a f t e r he h a d spent a very re s tle s s night with complete absence of sleep. The p ic t u r e I sav on the f i r s t v i s i t was a p a t i e n t in p r o s t r a t - io"n, h i g h l y n e rv o u s w i t h an e x c i t e d m e n t a l i t y , no a p p e t i t e , o c c a s i o n a l v o m i t i n g , no p a i n , t e m p e r a t u r e 97 l / 2 . b l o o d p r e s s u r e 110/70, pulse ra te 58. .- This p a tie n t continued w ithout any evidence of improvement u n t i l Aug. 2 7 ,. During t h i s i n t e r v a l he was com pletely unable to sleep or to take nourishment. He complained of a sw eetish m e ta lic t a s t e and fre q u e n tly the- odor o f o i l and E th y l F lu id on h is hands and body even a f t e r care and rep eated bathing. JIv management fo r t h i s p a t i e n t has been th e g iv in g o f c o l onic flu sh es.th ree or four times d aily , a lk a liz in g agents to stomach, amvtal compound f o r r e s t and on one o c casio n 1 /4 g ra in m o r p h i n e . On Aug. 25, I g ave i n t r a v e n o u s l y Ha Theo S u l p h a t e . On Aug. 2 7 , t h i s p a t i e n t a t e a r e a s o n a b l e b r e a k f a s t . A g a i n on Aua. 28, he ate b re a k fa s t but no other nourishm ent. At t h i s w r i t in g Mr. is apparently recovering s a tis f a c t o r i l y from t h i s i l l n e s s b u t i s v e r y s l o w . I am p r e s s e d w i t h t h e i d e a t h a t we may be d e a l i n g w i t h a c a s e o f p a r t i a l E t h v l f T F l u i d ) 5p q i S o n i n g , witb. a p o s s i b i l i t y of, a c h r o n i c G a s o l i n e . poison accompanying. : I would l i k e your a d v ise co n cern in g t h i s case- and would a p p r e c i a t e a n y i n f o r m a t i o n t h a t y o u m i g h t g i v e me c o n c e r n i n g d e a l i n g i n a m e d ic a l way w i t h E t h y l F l u i d Compound. T h a n k i n s y o u , I am. Yours tru ly . CY/EH F . S. I b s t i n p i e c e l l s f o u n d , no d i s t u r b a n c e o f arums and no disturbance of v isio n . f :4 %